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SBAR I: Understanding the Concept01:29

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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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SAFE-T tool validation: An inpatient shift-based screening tool for infant safe sleep.

Jennifer Gingrasfield1, Alexandra Cole2, Michele DeGrazia3

  • 1Sleep Center, Boston Children's Hospital, Boston, MA, United States of America; Pediatric Hospital Medicine, Boston Children's Hospital, Boston, MA, United States of America.

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Summary

Sudden unexpected infant death is a leading cause of infant mortality. The SAFE-T tool was validated to improve infant safe sleep knowledge and practices in hospitals, promoting safer sleep environments for infants.

Keywords:
AdherenceInpatientSIDSSUIDSafe sleep

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Area of Science:

  • Pediatrics
  • Public Health
  • Healthcare Quality Improvement

Background:

  • Sudden unexpected infant death (SUID) is a critical public health issue, accounting for over 3500 infant deaths annually in the US.
  • Knowledge and practice gaps in infant safe sleep are prevalent in inpatient settings, necessitating targeted interventions.
  • Existing screening tools may not adequately address the complexities of safe sleep practices within a hospital environment.

Purpose of the Study:

  • To modify and establish the content validity of the Safe Sleep Screening Tool (SAFE-T), an inpatient shift-based screening tool.
  • To develop a reliable instrument for assessing and promoting safe sleep environments for infants in healthcare settings.
  • To address the need for standardized tools to improve safe sleep knowledge and practices among healthcare providers.

Main Methods:

  • A national sample of hospital-based infant safe sleep program professionals participated in e-Delphi rounds.
  • Surveys were used to gather feedback on the original tool items and modified versions.
  • Consensus was defined as 80% agreement on tool items, with iterative revisions based on participant feedback.

Main Results:

  • Thirty-two professionals from 28 institutions participated, with 78% retention across three survey rounds.
  • The SAFE-T tool underwent modifications to its items, introduction, and reference materials based on expert feedback.
  • The final tool features 14 response options, refined from the pilot tool's 15, and two domains were renamed for clarity.

Conclusions:

  • The SAFE-T tool is the first validated inpatient shift-based screening tool designed to promote safe sleep practices.
  • Implementation of the SAFE-T tool in hospitals has the potential to enhance safe sleep practices during hospitalization and post-discharge.
  • Further research is recommended to assess the tool's impact on caregiver behaviors after hospital discharge.